Organization Active NPI

Optimal Movement PT

  • Physical Therapist
  • Pompton Plains, NJ
National Provider Identifier
1982281515
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMAL MOVEMENT PT
Practice address
142 Route 23
Pompton Plains, NJ 07444-2000
Phone
(201) 835-4343
NPI assigned
Mar 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olga Koza, PT,DPT,COMTNPI 1700210929
Title
PT/Owner
Phone
(201) 835-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

142 Route 23
Pompton Plains, NJ 07444-2000

Mailing address

4 Mountain Ave
Wanaque, NJ 07465-1315
Phone (201) 835-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210807000104 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6709280126 Receives reassigned benefits from 3 practitioners
Practice locations: Pompton Plains, NJ

National Provider Directory

National Provider Directory

Locations

901 Route 23
Ste 205
Pompton Plains, NJ 07444
Phone (973) 706-1130

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1982281515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MOUNTAIN AVE",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651315",
            "telephone_number": "201-835-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ROUTE 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442000",
            "telephone_number": "201-835-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MOVEMENT PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "KOZA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "201-835-4343",
        "authorized_official_credential": "PT,DPT,COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.